KATIE RAE SHAW (FNP-C) – Family Nurse Practitioner, NPI 1841908274

KATIE RAE SHAW (FNP-C) is a healthcare provider. based in Bowie, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 920107 (TX). The NPI Number for KATIE RAE SHAW (FNP-C) is 1841908274

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KATIE RAE SHAW (FNP-C)
NPI
1841908274
Phone
(940) 366-5448
Address
1010 N MILL ST
Enumeration Date
15 November 2022
Last Update Date
5 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9405676633
Graduation Year
2022 (4 years ago)
PAC ID
0244604304
Group Practice PAC ID
5890768675
Professional Enrollment ID
I20230314000198
Address ID
TX764581403JA215XXTRLX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for KATIE RAE SHAW (FNP-C)

  • 1010 N MILL ST

    BOWIE, TX 762303120

    Phone: (940) 366-5448

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $331.

Total Amount is formed as General ($331) + Research ($0) + Ownership ($0) = $331.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Novo Nordisk Inc ($61).

Total Amount

$331

General + Research + Ownership

Payments

19

Total payment records

General Amount

$331

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230314000198INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76230)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890768675View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Family PracticeTX
Family Practice, Emergency MedicineTX
Orthopedic SurgeryTX
P O D I A T R YTX
-TX
Family PracticeTX
Internal MedicineTX

Reviews

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Frequently asked questions

Where can patients find KATIE RAE SHAW (FNP-C)'s NPI?
You can confirm KATIE RAE SHAW (FNP-C) with NPI 1841908274; it appears in the national provider directory.
Does this profile mean KATIE RAE SHAW (FNP-C) is currently active?
Yes — KATIE RAE SHAW (FNP-C) appears active in the national provider directory.
What does KATIE RAE SHAW (FNP-C) treat or focus on?
Patients typically see KATIE RAE SHAW (FNP-C) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is KATIE RAE SHAW (FNP-C)'s primary listing?
We display Bowie, Texas because that is what the record indicates for KATIE RAE SHAW (FNP-C).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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